53451 prior authorization | Anthem Blue Cross and Blue Shield Virginia
53451, Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 53451
- Description
- Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 22 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization